Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Homestead Village, Inc during CMS and state inspections, most recent first.
Surveyors found that staff failed to follow the facility’s infection control policy requiring Enhanced Barrier Precautions (EBP) and appropriate PPE during high-contact care for residents with chronic wounds. One resident with a chronic toe wound and a care plan specifying EBP received wound care from a licensed nurse who wore only gloves and no gown, despite acknowledging that both gloves and a gown were required. Another resident with a sacral pressure ulcer also received wound care from a licensed nurse who did not wear appropriate PPE. The Infection Preventionist confirmed that in both cases staff did not follow transmission-based precautions, creating the potential for cross-contamination and transmission of infectious organisms.
A resident with multiple comorbidities, moderate cognitive impairment, and dependence on staff for transfers and seated mobility slid out of a Broda chair while a CNA was providing evening care and checking a Hoyer sling. The seat of the Broda chair had been tilted too far forward, with the front edge lower than the back and not parallel to the ground, creating unsafe positioning. The resident landed on their knees, later reported pain and bruising to the lower extremity, and imaging confirmed a distal fibula fracture requiring splinting and pain management. The resident and staff both reported that the excessive forward tilt of the chair seat caused the slide and resulting injury, and facility leadership confirmed these findings.
The facility did not follow its policy for monitoring and addressing significant weight changes, resulting in a deficiency. A resident experienced a weight loss of 13.8 pounds, or 11.37%, over one month. Despite this, the dietary note lacked recommendations to address the weight loss, and an employee confirmed that further dietary interventions should have been implemented.
A facility failed to monitor the effectiveness and side effects of Trazodone for a resident receiving it for insomnia. The resident's clinical record lacked documentation of such monitoring since the medication's initiation. This was confirmed by the DON, highlighting a deficiency under nursing services regulations.
Failure to Use Required PPE and Enhanced Barrier Precautions During Wound Care
Penalty
Summary
The deficiency involves the facility’s failure to follow its own infection prevention and control policy for transmission-based precautions and Enhanced Barrier Precautions (EBP) during wound care for two residents. The facility’s policy, revised in June 2024, requires EBP, including appropriate PPE such as gloves and gowns, during high-contact resident care activities for residents with chronic wounds. One resident had diagnoses including Alzheimer’s disease, venous insufficiency, localized edema, and a non-pressure chronic ulcer on the right foot, with an active order for treatment of a lymphademic wound on the left third toe. This resident’s care plan specifically included an intervention for EBP due to an open wound per protocol. During an observed wound treatment, the licensed staff member performing the care wore only gloves and did not wear a protective gown, despite acknowledging that the resident was on EBP and that appropriate PPE should have included both gloves and a gown. The Infection Preventionist confirmed that the appropriate PPE was not used. A second resident had a documented sacral pressure ulcer. During an observed wound treatment for this resident, the licensed staff member performing the care was also not wearing appropriate PPE. The Infection Preventionist confirmed that this staff member did not wear the required PPE and failed to follow transmission-based precautions during the wound treatment. These observations, along with staff interviews and review of the facility’s policy and resident records, led surveyors to determine that the facility failed to follow transmission-based precautions and implement EBP in accordance with the residents’ care plans and infection prevention protocols, creating the potential for cross-contamination and placing the two residents at risk for transmission of infectious organisms.
Resident Injury Due to Improper Positioning and Operation of Broda Chair
Penalty
Summary
The deficiency involves the facility’s failure to ensure that a Broda chair was positioned and operated safely during resident care, resulting in a resident sliding from the chair and sustaining a fracture. The resident involved had multiple diagnoses, including hemiplegia and hemiparesis following intracerebral hemorrhage, cerebral infarction, osteoarthritis, type 2 diabetes, fibromyalgia, and macular degeneration, and had a BIMS score of 12, indicating moderate cognitive impairment. The resident’s care plan documented dependence on staff for all transfers with a Hoyer lift, non-ambulatory status, and the need for staff assistance for all mobility while seated in a Broda chair. On the evening in question, a CNA leaned the resident forward in the Broda chair to check the placement of the Hoyer lift sling and to change the resident’s blouse. During this care, the resident slid forward out of the chair and landed on their knees. Nursing documentation and an RN assessment completed immediately after the incident noted that the seat of the Broda chair was tilted forward, with the front edge lower than the back edge and not parallel to the ground, creating unsafe positioning during care. In a subsequent phone interview, the CNA involved confirmed that the resident slid out of the Broda chair after the CNA tilted the seat too far forward. Following the incident, the resident reported pain and bruising to the right lower extremity, and diagnostic imaging confirmed a recent fracture of the distal shaft of the right fibula. The resident was transported to a local hospital for further evaluation and returned with a plaster splint applied to the right foot and ankle. The resident later reported that they slid out of the Broda chair because the seat was tilted too far forward and described experiencing significant pain as a result of the injury. Facility leadership, including the DON and NHA, confirmed the findings related to the unsafe positioning and operation of the Broda chair during care.
Failure to Monitor and Address Significant Weight Loss
Penalty
Summary
The facility failed to adhere to its Weight Management/Weight Loss policy, resulting in a deficiency related to the monitoring of a resident's weight. According to the policy, monthly weights should be taken by qualified staff within the first five days of each month and documented in the electronic medical record after verification by licensed staff. If a weight discrepancy of +/- 5 pounds is noted, the resident should be reweighed immediately, and if a weight change of 5 or more pounds is observed, the dietitian should be notified for follow-up and recommendations. Resident 20's clinical record showed a significant weight loss from 121.4 pounds to 107.6 pounds between January and February 2025, a loss of 13.8 pounds or 11.37% in one month. Despite this significant weight loss, the dietary note dated February 10, 2025, did not include any recommendations to address the issue. An interview with Employee E3 confirmed that further dietary interventions should have been implemented to address the resident's weight loss.
Failure to Monitor Psychotropic Medication
Penalty
Summary
The facility failed to ensure proper monitoring for effectiveness and side effects of psychotropic medication for one resident. Resident 6 had been receiving Trazodone, an anti-depressant medication, for insomnia since March 2024. However, a review of the resident's clinical record revealed no documented evidence of monitoring for side effects or effectiveness of the medication since its initiation. This lack of documentation was confirmed during an interview with the Director of Nursing on February 21, 2025. The deficiency was noted under 28 Pa. Code 211.12(d)(1)(2)(3) Nursing Services, which had been previously cited on March 1, 2024.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Lancaster
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Abbeyville Skilled Nursing And Rehabilitation Cent | 1.1 mi | ★★★★★ | 11 | 0 |
| Trillium Place | 1.3 mi | ★★★★★ | 1 | 0 |
| Hamilton Arms Center | 1.6 mi | ★★★★★ | 7 | 0 |
| Rose City Nursing And Rehab At Lancaster | 2.4 mi | ★★★★★ | 16 | 1 |
| Calvary Fellowship Homes Inc | 2.9 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.